Rectal distension: The effect on bladder function

Panayi, Demetri; Khullar, Vik; Digesu, G. Alessandro; Spiteri, Monica A.; Hendricken, Caroline; Fernando, Ruwan

doi:10.1002/nau.20944

Cited by 48 publications

(37 citation statements)

References 18 publications

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“…21 These results were reproduced in women with LUTS, where rectal distention significantly reduced the filling volume at which participants reported first and strong desire to void compared to those with an undistended rectum. 22 In addition, detrusor overactivity was demonstrated only in those patients with distended rectums. In a study of healthy men, rectal distention was associated with increased posterior urethral pressure, which may lead to obstructive voiding symptoms regardless of prostate size.…”

Section: Discussionmentioning

confidence: 98%

Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

2013

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Purpose We examine the association between self-reported lower urinary tract symptoms and bowel habits in men in a large, cross-sectional, population based cohort study. Materials and Methods The study included 3,077 men participating in the 2005–2006 or 2007–2008 cycles of the NHANES (National Health and Nutrition Examination Survey) who were 40 years old or older and without a history of prostate cancer. Men were considered to have lower urinary tract symptoms if they reported nocturia, urinary hesitancy and/or incomplete bladder emptying. Bowel habits were characterized by frequency of bowel movements per week and stool consistency based on the Bristol Stool Form Scale. Weighted associations between bowel habits and lower urinary tract symptoms were determined using univariate and multivariate techniques, adjusting for age, race, body mass index, diabetes, alcohol intake, activity level and smoking. Results The prevalence of lower urinary tract symptoms was 37%, with 4% reporting all 3 symptoms. Reporting 3 or fewer bowel movements per week was associated with nocturia (OR 1.67, 95% CI 1.21–2.30), incomplete bladder emptying (OR 2.14, 95% CI 1.06–4.31) and urinary hesitancy (OR 2.06, 95% CI 1.06–4.02). Reporting more than 10 bowel movements per week was associated with nocturia only (OR 1.42, 95% CI 1.01–1.55). Hard (OR 1.76, 95% CI 1.31–2.37) and loose (OR 1.25, 95% CI 1.01–1.55) stool consistency increased the odds of reporting nocturia. Conclusions Lower urinary tract symptoms in the adult male were independently associated with low stool frequency, hard stool type and loose stool type. These data suggest causality or a common pathophysiology of lower urinary tract symptoms and abnormalities of bowel habits.

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Section: Discussionmentioning

confidence: 98%

Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

2013

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“…This association is justified because constipation is related to repeated pelvic pressure and tension, occurring more often than birth (26) . The rectum and the lower urinary tract are intimately related, as they originate from the same embryonic structure, possess the same peripheral innervation, and the central processing of afferent activity occurs in the same area of the brain (27) . The intimate proximity of these systems suggests that dysfunctions in one of them can influence the other's function, even mechanically (28) .…”

Section: Discussionmentioning

confidence: 99%

“…The intimate proximity of these systems suggests that dysfunctions in one of them can influence the other's function, even mechanically (28) . One study that assessed whether rectal distension influenced the results of a urodynamic test showed that rectal distension can cause detrusor hyperactivity in some women; however, the data were inconclusive and further research is needed (27) . A cohort study conducted six months postpartum showed that chronic constipation was a risk factor for postpartum UI (OR 1.86, CI 95% 1.03 -3.34) (16) .…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum urinary incontinence

Leroy

Lúcio

Lopes

2016

Rev. esc. enferm. USP

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OBJECTIVE: To investigate the risk factors for postpartum urinary incontinence (UI) and its characteristics. METHOD: This was a case-control study with 344 puerperal women (77 cases and 267 controls) with up to 90 days postpartum. In a single session, participants were given a questionnaire with sociodemographic and clinical data and two others that assessed urine leakage, leakage situations, and type of UI. RESULTS: Stress UI was present in 45.5% of the women, incidents of urine leakage several times a day in 44.2%, of which 71.4% were in small amounts and 57.1% when coughing or sneezing. In 70.1% of cases, UI began during pregnancy and remained through the postpartum period. After running a binary logistic regression model, the following factors remained in the final model: UI during pregnancy (OR 12.82, CI 95% 6.94 - 23.81, p<0.0001), multiparity (OR 2.26, CI 95% 1.22 - 4.19, p=0.009), gestational age at birth greater or equal to 37 weeks (OR 2.52, CI 95% 1.16 - 5.46, p=0.02) and constipation (OR 1.94, CI 95% 1.05 - 5.46, p=0.035). CONCLUSION: Most often, UI first appeared during pregnancy and remained through the postpartum period. Urinary incontinence during pregnancy, multiparity, gestational age at birth greater or equal to 37 weeks, and constipation were presented as risk factors. In the studied group, stress UI was more frequent.

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“…A close relationship between bladder function and intestinal function has been demonstrated in various animal models [9, 10] and in clinical studies [11, 12]. A urodynamic study by De Wachter et al showed that rectal distention significantly influences the sensation of bladder filling [13], while Panayi et al detected detrusor overactivity when the rectum was distended and not when it was empty [12].…”

Section: Introductionmentioning

confidence: 99%

Female Functional Constipation Is Associated with Overactive Bladder Symptoms and Urinary Incontinence

Maeda

Tomita

Nakazawa

et al. 2017

BioMed Research International

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This noninterventional cross-sectional study aims to assess the association between functional constipation (FC) and urinary symptoms in female patients with no treatment for urination and defecation. The Rome III criteria for evaluation of defecation, Overactive Bladder Symptom Score (OABSS) for evaluation of urinary symptoms, and clinical features were investigated in 145 female patients. Latent FC and moderate to severe overactive bladder (OAB) were defined on the basis of positivity for two or more of the Rome III criteria and an OABSS ≥ 6 with OABSS Q3 ≥ 2, respectively. In 60 latent FC patients, the OABSS was higher (5.0 versus 3.2, p = 0.001), and concurrent moderate to severe OAB symptoms and OAB with urinary incontinence were more frequent than those in 85 nonlatent FC patients (33.3 versus 10.6%, p = 0.001, and 31.7 versus 7.1%, p < 0.001). Multivariate analysis demonstrated that moderate to severe OAB symptoms were a significant associated factor of latent FC (odds ratio (OR) = 4.125, p = 0.005), while latent FC was the only associated factor of moderate to severe OAB and OAB with urinary incontinence (OR = 4.227, p = 0.005 and OR = 4.753, p = 0.004). In conclusion, moderate to severe OAB symptoms are correlated with FC. Moreover, FC is related to moderate to severe OAB symptoms and to OAB with urinary incontinence.

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Rectal distension: The effect on bladder function

Abstract: Rectal distension alters bladder sensation and in some cases urodynamics diagnosis.

Cited by 48 publications

References 18 publications

Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey

Risk factors for postpartum urinary incontinence

Female Functional Constipation Is Associated with Overactive Bladder Symptoms and Urinary Incontinence

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